论文部分内容阅读
病史摘要患者男性,42岁,上海籍,教师,住院号 168764。因乏力、纳差3个月,右上腹痛、进行性黄疸10天,于1979年9月4日入院。患者于7年前因有肝炎接触史,自感乏力,检查GPT为110单位,诊断为急性无黄疸型肝炎。经住院1个月后,GPT降为66单位,自觉症状缓解出院。7年来反复有食欲不振,乏力,偶感右上腹痛,无黄疸,GPT反复波动在正常至100单位之间,能坚持日常工作。 1979年5月下旬,因明显乏力、纳差,复查CPT为200单位,TTT及ZnTT均正常,未予治疗,仍坚持上班。8月23日发现巩膜黄染,尿呈浓茶色,大便颜色变浅,乏力
Summary of medical history Male patient, 42 years old, Shanghai nationality, teacher, hospital number 168764. Due to fatigue, anorexia for 3 months, right upper quadrant pain, progressive jaundice for 10 days, on September 4, 1979 admitted. Patient 7 years ago due to history of exposure to hepatitis, self-fatigue, check the GPT of 110 units, diagnosed with acute jaundice-free hepatitis. After 1 month hospitalization, GPT dropped to 66 units, relieve symptoms and discharged. 7 years have repeatedly loss of appetite, fatigue, occasional right upper quadrant pain, jaundice, GPT repeatedly fluctuated between normal to 100 units, can adhere to daily work. In late May 1979, due to significant fatigue, anorexia, CPT review of 200 units, TTT and ZnTT were normal, without treatment, still insist on work. August 23 found scleral yellow dye, urine was dark brown, lighter stool color, fatigue